Download Practical Exercise Therapy PDF

TitlePractical Exercise Therapy
Author
TagsExercise Therapy
LanguageEnglish
File Size11.4 MB
Total Pages485
Table of Contents
                            0000
0001
0002
0003
0004
0005
0006
0007
0008
0009
0010
0011
0012
0013
0014
0015
0016
0017
0018
0019
0020
0021
0022
0023
0024
0025
0026
0027
0028
0029
0030
0031
0032
0033
0034
0035
0036
0037
0038
0039
0040
0041
0042
0043
0044
0045
0046
0047
0048
0049
0050
0051
0052
0053
0054
0055
0056
0057
0058
0059
0060
0061
0062
0063
0064
0065
0066
0067
0068
0069
0070
0071
0072
0073
0074
0075
0076
0077
0078
0079
0080
0081
0082
0083
0084
0085
0086
0087
0088
0089
0090
0091
0092
0093
0094
0095
0096
0097
0098
0099
0100
0101
0102
0103
0104
0105
0106
0107
0108
0109
0110
0111
0112
0113
0114
0115
0116
0117
0118
0119
0120
0121
0122
0123
0124
0125
0126
0127
0128
0129
0130
0131
0132
0133
0134
0135
0136
0137
0138
0139
0140
0141
0142
0143
0144
0145
0146
0147
0148
0149
0150
0151
0152
0153
0154
0155
0156
0157
0158
0159
0160
0161
0162
0163
0164
0165
0166
0167
0168
0169
0170
0171
0172
0173
0174
0175
0176
0177
0178
0179
0180
0181
0182
0183
0184
0185
0186
0187
0188
0189
0190
0191
0192
0193
0194
0195
0196
0197
0198
0199
0200
0201
0202
0203
0204
0205
0206
0207
0208
0209
0210
0211
0212
0213
0214
0215
0216
0217
0218
0219
0220
0221
0222
0223
0224
0225
0226
0227
0228
0229
0230
0231
0232
0233
0234
0235
0236
0237
0238
0239
0240
0241
0242
0243
0244
0245
0246
0247
0248
0249
0250
0251
0252
0253
0254
0255
0256
0257
0258
0259
0260
0261
0262
0263
0264
0265
0266
0267
0268
0269
0270
0271
0272
0273
0274
0275
0276
0277
0278
0279
0280
0281
0282
0283
0284
0285
0286
                        
Document Text Contents
Page 2

Page i

Practical Exercise Therapy
Fourth Edition

Edited by

Margaret Hollis

MBE, MSc, FCSP, DipTP
Formerly Principal, Bradford

School of Physiotherapy

and

Phyl Fletcher-Cook

MEd, MCSP, Cert Ed
Senior Lecturer, Huddersfield

University

With contributions by

Sheila S. Kitchen
MSc, MSCP, DipTP

Course Co-ordinator, Physiotherapy Group
King's College, London

Barbara Sanford
DipPE (Lond. Univ.)

Formerly Lecturer in Physical Education
Bradford School of Physiotherapy

The late Patricia J. Waddington
BA (Hons), FCSP, DipTP

Formerly Principal, School of Physiotherapy
Manchester Royal Infirmary



Document http://www.netlibrary.com.lp.hscl.ufl.edu/nlreader/nlreader.dll?bookid=...

1 of 1 3/14/2009 1:39 PM

Page 243

Page 137

alongside them provided there are no floor obstructions.

Eventually he will walk free of the bars but a distance target should be given to him. 'Walk to the door' with
the therapist perhaps holding his clothing at the back or putting a steadying hand on his sacrum and one
shoulder, until he is more confident and capable of walking with just an escort. The target of distance walked
should be constantly revised and the therapist should not hesitate to suggest frequent rests for patients who
are afraid or frail or weak. Equally, as the patient performs better and more strongly, not only should the
daily distance walked be increased but the rests should be less frequent.

Turning must be taught early unless the bars are of inordinate length and the wheelchair can be taken inside
them. In taking the patient any distance inside or outside the bars it must be remembered that he must
traverse a similar distance to return to his wheelchair.

Turning.

In the Parallel Bars

The foot is hopped through 45° or less and the now rear arm is moved to the bar the patient is turning to face.
A series of hops complete the turn beyond 90° and the arm on the side of the turning direction is moved to
behind the patient. Further hops complete the turn.

With Walking Aids

The direction of turn is decided and agreed. The aid on that side is moved backwards and that on the
opposite side is moved forwards with a small hop of the appropriate foot as described below. The sequence
of moves for a patient weight-bearing on only one leg and turning to the right should be: right aid back, hop
leg to right, left aid forwards, hop leg to right, and repeat until the turn is complete. For a patient weight-
bearing on both legs and able to move them separately the sequence for a turn to the right would be: right aid
back, left leg forwards and turned to the right, left aid forwards, right leg back and turned to the right, and
repeated to complete the turn.

Some strong patients will complete the process in possibly one or two moves.

Walking up Stairs

The patient walks close up to the bottom step, takes his injured limb backwards and, leaning on his walking
aids, hops up one step. His walking aids are now brought up on to the same step and the process repeated.
Alternatively he may take both walking aids in one hand and use the banister rail. The procedure is as above,
i.e. sound leg first, walking aid last.

Some patients may have to go upstairs backwards on their bottom, in which case the hands are put flat on the
step above and the trunk raised on to the same step.

Walking down Stairs

The patient walks close to the top of the stairs and puts his injured limb in front of himself. He places his
walking aids on the step below, lowering by flexing his standing limb. He now hops this limb down to join the
walking aids, or he may put both walking aids in one hand and, using the banister rail follow the above
sequence of moving his walking aid first and his leg last, or he may sit on the floor and lower his bottom on to
the step below his hands.

Document http://www.netlibrary.com.lp.hscl.ufl.edu/nlreader/nlreader.dll?bookid=...

1 of 2 3/14/2009 8:00 PM

Page 484

using poles, 270

for sensory ataxia, 185

turning, 185

with walking aids, 138 et seq.

wallbars, 94

water, 131 et seq.

Bad Raqaz techniques in, 133



Document http://www.netlibrary.com.lp.hscl.ufl.edu/nlreader/nlreader.dll?bookid=...

4 of 4 3/14/2009 8:36 PM

Page 485

Page 280

balance in, 132

exercise in, 131

joint mobilization in, 162

muscle re-education in, 151

starting positions in, 53

Webber, 77, 78, 79, 80, 81, 82

wedges, 92

weight

arm in muscle re-education, 144, 146

bag type, 130

bands, 129

barbell, 130

boot as resistance, 125

saddle type, 129

wheelchair, 144

wobble (balance) board, 20

work, 20, 28

Y

Young 196, 197

Young's modulus, 34

Z

Zinovieff,

10 RM regime, 153



Document http://www.netlibrary.com.lp.hscl.ufl.edu/nlreader/nlreader.dll?bookid=...

1 of 1 3/14/2009 8:36 PM

Similer Documents